| NPI | 1124604236 |
|---|---|
| Other Name | DEVON TYRE DUKER-HANZER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26933) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P015877) |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-03-19 |